A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)

IntroductionTranscutaneous auricular vagus nerve stimulation (taVNS) is a promising technique for modulating vagal afferent fibers non-invasively and has shown therapeutic potential in neurological, cognitive, and affective disorders. While previous research highlights its efficacy, the safety profi...

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Main Authors: Manon Giraudier, Carlos Ventura-Bort, Christoph Szeska, Mathias Weymar
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Human Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2025.1539416/full
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author Manon Giraudier
Carlos Ventura-Bort
Christoph Szeska
Mathias Weymar
Mathias Weymar
author_facet Manon Giraudier
Carlos Ventura-Bort
Christoph Szeska
Mathias Weymar
Mathias Weymar
author_sort Manon Giraudier
collection DOAJ
description IntroductionTranscutaneous auricular vagus nerve stimulation (taVNS) is a promising technique for modulating vagal afferent fibers non-invasively and has shown therapeutic potential in neurological, cognitive, and affective disorders. While previous research highlights its efficacy, the safety profile of taVNS has been less extensively examined.MethodsThis study therefore aimed to systematically investigate side effects of taVNS in a large pooled dataset consisting of n = 488 participants, utilizing a standardized questionnaire to assess ten reported side effects. Analyses included effects of stimulation type (interval vs. continuous), stimulation duration, stimulation intensity and participant characteristics (age and gender) as potential modulators.ResultsThe findings support the safety of taVNS, with minimal and mild side effects reported across participants (M = 1.86, SD = 1.36). Although participants receiving sham stimulation were 32.4% less likely to report unpleasant feelings compared to participants receiving taVNS, this effect was driven primarily by low-end ratings (specifically, a rating of 1, indicating not at all when experiencing the corresponding side effect), thus suggesting limited clinical relevance. Interval stimulation notably reduced the likelihood of some side effects, particularly for neck pain, dizziness and unpleasant feelings, suggesting potential for optimizing taVNS protocols. Stimulation intensity and duration showed few statistically significant, but clinically minimal (i.e., very small) effects.ConclusionOverall, these findings demonstrate a favorable safety profile of taVNS, with mostly mild and transient effects, supporting its use as a suitable non-invasive tool in both research and clinical applications.
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spelling doaj-art-1370ce71fc9245a98e97881bb0185c262025-02-05T12:53:20ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612025-02-011910.3389/fnhum.2025.15394161539416A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)Manon Giraudier0Carlos Ventura-Bort1Christoph Szeska2Mathias Weymar3Mathias Weymar4Department of Biological Psychology and Affective Science, Faculty of Human Sciences, University of Potsdam, Potsdam, GermanyDepartment of Biological Psychology and Affective Science, Faculty of Human Sciences, University of Potsdam, Potsdam, GermanyDepartment of Biological Psychology and Affective Science, Faculty of Human Sciences, University of Potsdam, Potsdam, GermanyDepartment of Biological Psychology and Affective Science, Faculty of Human Sciences, University of Potsdam, Potsdam, GermanyFaculty of Health Sciences Brandenburg, University of Potsdam, Potsdam, GermanyIntroductionTranscutaneous auricular vagus nerve stimulation (taVNS) is a promising technique for modulating vagal afferent fibers non-invasively and has shown therapeutic potential in neurological, cognitive, and affective disorders. While previous research highlights its efficacy, the safety profile of taVNS has been less extensively examined.MethodsThis study therefore aimed to systematically investigate side effects of taVNS in a large pooled dataset consisting of n = 488 participants, utilizing a standardized questionnaire to assess ten reported side effects. Analyses included effects of stimulation type (interval vs. continuous), stimulation duration, stimulation intensity and participant characteristics (age and gender) as potential modulators.ResultsThe findings support the safety of taVNS, with minimal and mild side effects reported across participants (M = 1.86, SD = 1.36). Although participants receiving sham stimulation were 32.4% less likely to report unpleasant feelings compared to participants receiving taVNS, this effect was driven primarily by low-end ratings (specifically, a rating of 1, indicating not at all when experiencing the corresponding side effect), thus suggesting limited clinical relevance. Interval stimulation notably reduced the likelihood of some side effects, particularly for neck pain, dizziness and unpleasant feelings, suggesting potential for optimizing taVNS protocols. Stimulation intensity and duration showed few statistically significant, but clinically minimal (i.e., very small) effects.ConclusionOverall, these findings demonstrate a favorable safety profile of taVNS, with mostly mild and transient effects, supporting its use as a suitable non-invasive tool in both research and clinical applications.https://www.frontiersin.org/articles/10.3389/fnhum.2025.1539416/fullside effectstVNStaVNSsafety profilepooled data
spellingShingle Manon Giraudier
Carlos Ventura-Bort
Christoph Szeska
Mathias Weymar
Mathias Weymar
A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
Frontiers in Human Neuroscience
side effects
tVNS
taVNS
safety profile
pooled data
title A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
title_full A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
title_fullStr A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
title_full_unstemmed A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
title_short A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
title_sort pooled analysis of the side effects of non invasive transcutaneous auricular vagus nerve stimulation tavns
topic side effects
tVNS
taVNS
safety profile
pooled data
url https://www.frontiersin.org/articles/10.3389/fnhum.2025.1539416/full
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